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Oughtonomy in healthcare: a deconstructive reading of Kantian autonomy

Ignaas Devisch UGent (2010) MEDICINE HEALTH CARE AND PHILOSOPHY. 13(4). p.303-312
abstract
For years now, autonomy has been discussed as one of the central values in health care. Understood as self-realization, it is opposed to paternalism which is conceived as an intolerable occurrence of heteronomy. Although different concepts have been developed to nuance this opposition, when it comes to health care discourse, heteronomy is still the enemy of autonomy. In our article, we defend the thesis that autonomy is only achievable as heteronomy. We are not arguing for an expansion of the meaning of autonomy, but are attempting to conduct an analysis which lays bare the 'disrupting' attendance of heteronomy within the principle of autonomy. Autonomy does not begin where heteronomy ends, but can only begin if heteronomy is already involved. To emphasize this, we prefer to elaborate a new concept: 'oughtonomy'. This concept is inspired by Jacques Derrida's distinction between 'difference' and 'differance'. We will develop the concept of oughtonomy from a deconstructive reading of Kant's idea of autonomy, inspired by philosophers such as Jacob Rogozinski, Jean-Luc Nancy and others. In addition to a first exploration of this concept, this article also discusses the possible consequences of oughtonomy for current debates concerning health care. Our quest for a new understanding of autonomy is motivated by the concern that, although the accent on autonomy as self-realization and independence has many advantages, we should also bear in mind the countless disadvantages.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Heteronomy, Autonomy, Kant, Derrida, Deconstruction, Heidegger, Paternalism, DECISION-MAKING, PATERNALISM, PRINCIPLE, MEDICINE, FREEDOM, HISTORY, CARE
journal title
MEDICINE HEALTH CARE AND PHILOSOPHY
Med. Health Care Philos.
volume
13
issue
4
pages
303 - 312
Web of Science type
Article
Web of Science id
000282514000002
JCR category
HISTORY & PHILOSOPHY OF SCIENCE
JCR impact factor
0.726 (2010)
JCR rank
10/36 (2010)
JCR quartile
2 (2010)
ISSN
1386-7423
DOI
10.1007/s11019-010-9258-z
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1038477
handle
http://hdl.handle.net/1854/LU-1038477
date created
2010-09-08 13:43:11
date last changed
2016-12-19 15:46:27
@article{1038477,
  abstract     = {For years now, autonomy has been discussed as one of the central values in health care. Understood as self-realization, it is opposed to paternalism which is conceived as an intolerable occurrence of heteronomy. Although different concepts have been developed to nuance this opposition, when it comes to health care discourse, heteronomy is still the enemy of autonomy. In our article, we defend the thesis that autonomy is only achievable as heteronomy. We are not arguing for an expansion of the meaning of autonomy, but are attempting to conduct an analysis which lays bare the 'disrupting' attendance of heteronomy within the principle of autonomy. Autonomy does not begin where heteronomy ends, but can only begin if heteronomy is already involved. To emphasize this, we prefer to elaborate a new concept: 'oughtonomy'. This concept is inspired by Jacques Derrida's distinction between 'difference' and 'differance'. We will develop the concept of oughtonomy from a deconstructive reading of Kant's idea of autonomy, inspired by philosophers such as Jacob Rogozinski, Jean-Luc Nancy and others. In addition to a first exploration of this concept, this article also discusses the possible consequences of oughtonomy for current debates concerning health care. Our quest for a new understanding of autonomy is motivated by the concern that, although the accent on autonomy as self-realization and independence has many advantages, we should also bear in mind the countless disadvantages.},
  author       = {Devisch, Ignaas},
  issn         = {1386-7423},
  journal      = {MEDICINE HEALTH CARE AND PHILOSOPHY},
  keyword      = {Heteronomy,Autonomy,Kant,Derrida,Deconstruction,Heidegger,Paternalism,DECISION-MAKING,PATERNALISM,PRINCIPLE,MEDICINE,FREEDOM,HISTORY,CARE},
  language     = {eng},
  number       = {4},
  pages        = {303--312},
  title        = {Oughtonomy in healthcare: a deconstructive reading of Kantian autonomy},
  url          = {http://dx.doi.org/10.1007/s11019-010-9258-z},
  volume       = {13},
  year         = {2010},
}

Chicago
Devisch, Ignaas. 2010. “Oughtonomy in Healthcare: a Deconstructive Reading of Kantian Autonomy.” Medicine Health Care and Philosophy 13 (4): 303–312.
APA
Devisch, Ignaas. (2010). Oughtonomy in healthcare: a deconstructive reading of Kantian autonomy. MEDICINE HEALTH CARE AND PHILOSOPHY, 13(4), 303–312.
Vancouver
1.
Devisch I. Oughtonomy in healthcare: a deconstructive reading of Kantian autonomy. MEDICINE HEALTH CARE AND PHILOSOPHY. 2010;13(4):303–12.
MLA
Devisch, Ignaas. “Oughtonomy in Healthcare: a Deconstructive Reading of Kantian Autonomy.” MEDICINE HEALTH CARE AND PHILOSOPHY 13.4 (2010): 303–312. Print.